Medical - Devices
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GKOS vs INSP
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Devices
GKOS vs INSP — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Devices | Medical - Devices |
| Market Cap | $7.85B | $1.31B |
| Revenue (TTM) | $551M | $915M |
| Net Income (TTM) | $-189M | $131M |
| Gross Margin | 78.1% | 85.8% |
| Operating Margin | -15.6% | 5.6% |
| Forward P/E | — | 24.5x |
| Total Debt | $140M | $32M |
| Cash & Equiv. | $91M | $105M |
GKOS vs INSP — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Glaukos Corporation (GKOS) | 100 | 344.2 | +244.2% |
| Inspire Medical Sys… (INSP) | 100 | 55.9 | -44.1% |
Price return only. Dividends and distributions are not included.
Quick Verdict: GKOS vs INSP
Each card shows where this stock fits in a portfolio — not just who wins on paper.
GKOS carries the broadest edge in this set and is the clearest fit for income & stability and growth exposure.
- beta 1.20
- Rev growth 32.3%, EPS growth -18.4%, 3Y rev CAGR 21.5%
- 457.1% 10Y total return vs INSP's 82.4%
INSP is the clearest fit if your priority is quality and efficiency.
- 14.3% margin vs GKOS's -34.3%
- 15.2% ROA vs GKOS's -20.1%, ROIC 6.0% vs -9.2%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 32.3% revenue growth vs INSP's 13.6% | |
| Quality / Margins | 14.3% margin vs GKOS's -34.3% | |
| Stability / Safety | Beta 1.20 vs INSP's 1.27 | |
| Dividends | Tie | Neither stock pays a meaningful dividend |
| Momentum (1Y) | +52.0% vs INSP's -70.9% | |
| Efficiency (ROA) | 15.2% ROA vs GKOS's -20.1%, ROIC 6.0% vs -9.2% |
GKOS vs INSP — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
GKOS vs INSP — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
INSP leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
INSP is the larger business by revenue, generating $915M annually — 1.7x GKOS's $551M. INSP is the more profitable business, keeping 14.3% of every revenue dollar as net income compared to GKOS's -34.3%. On growth, GKOS holds the edge at +41.2% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $551M | $915M |
| EBITDAEarnings before interest/tax | -$40M | $62M |
| Net IncomeAfter-tax profit | -$189M | $131M |
| Free Cash FlowCash after capex | -$18M | $97M |
| Gross MarginGross profit ÷ Revenue | +78.1% | +85.8% |
| Operating MarginEBIT ÷ Revenue | -15.6% | +5.6% |
| Net MarginNet income ÷ Revenue | -34.3% | +14.3% |
| FCF MarginFCF ÷ Revenue | -3.4% | +10.6% |
| Rev. Growth (YoY)Latest quarter vs prior year | +41.2% | +1.6% |
| EPS Growth (YoY)Latest quarter vs prior year | -6.3% | -5.0% |
Valuation Metrics
INSP leads this category, winning 2 of 3 comparable metrics.
Valuation Metrics
| Metric | ||
|---|---|---|
| Market CapShares × price | $7.9B | $1.3B |
| Enterprise ValueMkt cap + debt − cash | $7.9B | $1.2B |
| Trailing P/EPrice ÷ TTM EPS | -40.90x | 9.32x |
| Forward P/EPrice ÷ next-FY EPS est. | — | 24.46x |
| PEG RatioP/E ÷ EPS growth rate | — | — |
| EV / EBITDAEnterprise value multiple | — | 19.11x |
| Price / SalesMarket cap ÷ Revenue | 15.47x | 1.44x |
| Price / BookPrice ÷ Book value/share | 11.69x | 1.74x |
| Price / FCFMarket cap ÷ FCF | — | 16.73x |
Profitability & Efficiency
INSP leads this category, winning 9 of 9 comparable metrics.
Profitability & Efficiency
INSP delivers a 18.0% return on equity — every $100 of shareholder capital generates $18 in annual profit, vs $-26 for GKOS. INSP carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to GKOS's 0.21x. On the Piotroski fundamental quality scale (0–9), INSP scores 7/9 vs GKOS's 3/9, reflecting strong financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | -26.5% | +18.0% |
| ROA (TTM)Return on assets | -20.1% | +15.2% |
| ROICReturn on invested capital | -9.2% | +6.0% |
| ROCEReturn on capital employed | -10.3% | +6.7% |
| Piotroski ScoreFundamental quality 0–9 | 3 | 7 |
| Debt / EquityFinancial leverage | 0.21x | 0.04x |
| Net DebtTotal debt minus cash | $49M | -$73M |
| Cash & Equiv.Liquid assets | $91M | $105M |
| Total DebtShort + long-term debt | $140M | $32M |
| Interest CoverageEBIT ÷ Interest expense | -18.69x | 418.58x |
Total Returns (Dividends Reinvested)
GKOS leads this category, winning 6 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in GKOS five years ago would be worth $16,155 today (with dividends reinvested), compared to $2,342 for INSP. Over the past 12 months, GKOS leads with a +52.0% total return vs INSP's -70.9%. The 3-year compound annual growth rate (CAGR) favors GKOS at 31.7% vs INSP's -45.6% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | +21.2% | -50.6% |
| 1-Year ReturnPast 12 months | +52.0% | -70.9% |
| 3-Year ReturnCumulative with dividends | +128.7% | -83.9% |
| 5-Year ReturnCumulative with dividends | +61.5% | -76.6% |
| 10-Year ReturnCumulative with dividends | +457.1% | +82.4% |
| CAGR (3Y)Annualised 3-year return | +31.7% | -45.6% |
Risk & Volatility
GKOS leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
GKOS is the less volatile stock with a 1.20 beta — it tends to amplify market swings less than INSP's 1.27 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. GKOS currently trades 91.4% from its 52-week high vs INSP's 27.9% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.20x | 1.27x |
| 52-Week HighHighest price in past year | $146.75 | $163.35 |
| 52-Week LowLowest price in past year | $73.16 | $44.41 |
| % of 52W HighCurrent price vs 52-week peak | +91.4% | +27.9% |
| RSI (14)Momentum oscillator 0–100 | 63.0 | 31.6 |
| Avg Volume (50D)Average daily shares traded | 678K | 1.1M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Wall Street rates GKOS as "Buy" and INSP as "Hold". Consensus price targets imply 100.4% upside for INSP (target: $91) vs 9.3% for GKOS (target: $147).
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Hold |
| Price TargetConsensus 12-month target | $146.67 | $91.33 |
| # AnalystsCovering analysts | 24 | 27 |
| Dividend YieldAnnual dividend ÷ price | — | — |
| Dividend StreakConsecutive years of raises | — | — |
| Dividend / ShareAnnual DPS | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +13.3% |
INSP leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). GKOS leads in 2 (Total Returns, Risk & Volatility).
GKOS vs INSP: Frequently Asked Questions
9 questions · data-driven answers · updated daily
01Is GKOS or INSP a better buy right now?
For growth investors, Glaukos Corporation (GKOS) is the stronger pick with 32.
3% revenue growth year-over-year, versus 13. 6% for Inspire Medical Systems, Inc. (INSP). Inspire Medical Systems, Inc. (INSP) offers the better valuation at 9. 3x trailing P/E (24. 5x forward), making it the more compelling value choice. Analysts rate Glaukos Corporation (GKOS) a "Buy" — based on 24 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which is the better long-term investment — GKOS or INSP?
Over the past 5 years, Glaukos Corporation (GKOS) delivered a total return of +61.
5%, compared to -76. 6% for Inspire Medical Systems, Inc. (INSP). Over 10 years, the gap is even starker: GKOS returned +457. 1% versus INSP's +82. 4%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
03Which is safer — GKOS or INSP?
By beta (market sensitivity over 5 years), Glaukos Corporation (GKOS) is the lower-risk stock at 1.
20β versus Inspire Medical Systems, Inc. 's 1. 27β — meaning INSP is approximately 6% more volatile than GKOS relative to the S&P 500. On balance sheet safety, Inspire Medical Systems, Inc. (INSP) carries a lower debt/equity ratio of 4% versus 21% for Glaukos Corporation — giving it more financial flexibility in a downturn.
04Which is growing faster — GKOS or INSP?
By revenue growth (latest reported year), Glaukos Corporation (GKOS) is pulling ahead at 32.
3% versus 13. 6% for Inspire Medical Systems, Inc. (INSP). On earnings-per-share growth, the picture is similar: Inspire Medical Systems, Inc. grew EPS 179. 4% year-over-year, compared to -18. 4% for Glaukos Corporation. Over a 3-year CAGR, INSP leads at 30. 8% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
05Which has better profit margins — GKOS or INSP?
Inspire Medical Systems, Inc.
(INSP) is the more profitable company, earning 15. 9% net margin versus -37. 0% for Glaukos Corporation — meaning it keeps 15. 9% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: INSP leads at 5. 6% versus -17. 1% for GKOS. At the gross margin level — before operating expenses — INSP leads at 85. 4%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
06Is GKOS or INSP more undervalued right now?
Analyst consensus price targets imply the most upside for INSP: 100.
4% to $91. 33.
07Which pays a better dividend — GKOS or INSP?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
08Is GKOS or INSP better for a retirement portfolio?
For long-horizon retirement investors, Glaukos Corporation (GKOS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 1.
20), +457. 1% 10Y return). Both have compounded well over 10 years (GKOS: +457. 1%, INSP: +82. 4%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
09What are the main differences between GKOS and INSP?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: GKOS is a small-cap high-growth stock; INSP is a small-cap deep-value stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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